| no. | product or service name | quantity | unit | gross unit price PLN |
gross worth PLN |
X |
| Delivery | ||||||
pre-payment by bank transfer | 1 | pc. | 16.99 | 16.99 | ||
pre-payment by bank transfer | 1 | pc. | 15.00 | 15.00 | ||
cash-payment | 1 | pc. | 20.00 | 20.00 | ||
pre-payment by bank transfer | 1 | pc. | 0.00 | 0.00 | ||
cash-payment | 1 | pc. | 0.00 | 0.00 | ||
| discount code: |
| contact/invoice/shipping | |
| entity: | |
| first name: | |
| family name: | |
| name: | |
| nip: | |
| street: | |
| place: | |
| zip code: | |
| country: | |
| telephone: | |
| e-mail: |
| different shipping address | |
| entity: | |
| first name: | |
| family name: | |
| name: | |
| street: | |
| place: | |
| zip code: | |
| country: | |
| telephone: | |
| e-mail: |
| VAT invoice: | |
| comments: | |
| rules acceptance: | |
|
order with obligation to pay |